NHC Healthcare, Murfreesboro

In the surveyor’s words

From the most serious findings on record at NHC Healthcare, Murfreesboro, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Sep 27, 2021

  Based on facility policy, medical record review, facility reported incident (FRI) investigation review, observation, and interviews the facility failed to prevent abuse and protect the resident from extreme humiliation during a shower while lying on the shower gurney in the shower room without clothing, completely nude, for 1 of 6 residents (Resident #2) reviewed for abuse which resulted in Immediate Jeopardy (IJ). IJ situation (a situation in which the provider's noncompliance with one or more requirements of participation has caused or is likely to cause serious injury, harm, impairment, or death to a resident) was identified related to the facility's failure to promote, maintain, and enhance Resident #2's quality of life. […]

• Immediate jeopardy, isolatedF835Sep 27, 2021

  Based on facility policy, medical record review, facility reported incident (FRI) investigation review, observation, and interviews the Administration failed to maintain the highest well-being of life and failed to prevent abuse and protect the resident from extreme humiliation during a shower, lying on the shower gurney in the shower room without clothing, completely nude for 1 of 6 residents (Resident #2) reviewed for Administration which resulted in Immediate Jeopardy (IJ). IJ situation (a situation in which the provider's noncompliance with one or more requirements of participation has caused or is likely to cause serious injury, harm, impairment, or death to a resident) was identified related to the facility's failure to promote, maintain, and enhance Resident #2's quality of life. […]

• No harm, potential for more than minimal, isolatedF604Aug 2, 2024

  Based on facility policy review, medical record review, observation, and interview, the facility failed to provide an environment free from physical restraints for 1 (Resident #3) of 3 sampled residents reviewed for restraints. The findings include: Review of the facility policy titled, Patient Protection and Response Policy for Allegations/Incidents of Abuse, Neglect, Misappropriation of Property and Exploitation, dated [DATE], revealed, .Abuse, Neglect .will not be tolerated by anyone, including staff .family members or legal guardians .The patient has the right to be free from abuse .This includes but is not limit to freedom from .any physical restraint .not required to treat the patients medical symptoms .All allegations of possible abuse .will be immediately assessed to determine… […]

• No harm, potential for more than minimal, isolatedF622Aug 2, 2024

  Based on facility policy, record review, and interview, the facility failed to ensure a discharge summary was completed that contained needed information of the residents stay to ensure a safe discharge for 1 of 3 (Resident #4) residents reviewed for discharge. The findings include: Review of the facility policy titled, TRANSFER/DISCHARGE, dated 2/2023 revealed, .A patient may be transferred or discharged to another health care institution or discharged home upon the written order of the attending physician .Sufficient information will be provided to the patient to assure continuity of care, regardless of the destination of the patient or the reason for the transfer .The center will assist in effecting a smooth transition . […]

• No harm, potential for more than minimal, isolatedF656Aug 2, 2024

  Based on facility policy review, medical record review, facility documentation, and interview, the facility failed to develop and implement a comprehensive, person-centered care plan that addressed discharge plans for 1 (Resident #4) of 3 sampled residents reviewed for discharge. The findings include: Review of the medical record revealed Resident #4 was admitted to the facility on [DATE] and readmitted on [DATE], with diagnoses which included Dementia, Obsessive-compulsive disorder, Unspecified Psychosis, Depression, Alcohol Dependence with alcohol-induced persisting Dementia, Anxiety Disorder, and Pseudobulbar affect. Resident #4 was discharged on [DATE]. […]